FV-50B Cooperative Certificate of Resolution (CO Potatoes)

OMB No. 0581-0178

REPRODUCE LOCALLY. Include form number and date on all reproductions

COOPERA TIVE'S CERTIFICATE OF RESOLUTION
At a duly convened meeting of the Board of Directors of
Name of Cooperative Association

on the

held at

of

, 20---, the following resolution

was adopted:
who is

RESOL VED. that we authorize
Authorized agent's name

Title

of the cooperative association. to cast the attached cooperative

association referendum ballot for the membership of the aforesaid organization.

CERTIFICA TION
I,

, Secretary of

do hereby certifYthis is a true and correct copy of a resolution adopted at the above-named meeting as said
resolution appears in the minutes thereof
IN WITNESS WHEREOF, I have hereunto set my hand and the seal of said Corporation this

(Corporate Seal:
if none, so state)

day of

Signature

Address of Finn

City, State, and Zip Code

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Persons withdisabilitieswho require alternative means for communicationof program information(Braille,large print, audiotape, etc.) should contact
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can (800) 795-32n (voice) or (202) 720-6382 (TDD).USDAis an equal opportunityprovider and employer.
. .
FV-50B (05104)